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My Preferred Location Is:*

How Many Children Are You Registering?

Child's Name*

First Last

Date of Birth*

Child's Email*

Child's Cell Phone*

School*

High School Graduation Year*

Volleyball Experience / Previous Clubs

Medical Conditions

Child #2 Name*

First Last

Child #2 Date of Birth*

Child #2 Email*

Child #2 Cell Phone*

Child #2 School*

Child #2 High School Graduation Year*

Child #2 Volleyball Experience / Previous Clubs

Child #2 Medical Conditions

Child #3 Name*

First Last

Child #3 Date of Birth*

Child #3 Email*

Child #3 Cell Phone*

Child #3 School*

Child #3 High School Graduation Year*

Child #3 Volleyball Experience / Previous Clubs

Child #3 Medical Conditions

Parent #1 Name*

First Last

Parent #1 Email*

Parent #1 Cell Phone*

Parent #2 Name

First Last

Parent #2 Email

Parent #2 Cell Phone

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Photography Consent*

I agree to the terms below

Your daughters image may be captured during the course of training in our facility (camps, lessons, practice, tournaments, etc.). Surfside Volleyball Club reserves the right to use these images in our professional marketing material and/or social media.

Signature*

I give my permission for my child to participate in the volleyball clinics given by Surfside Volleyball Club and their Staff. As with any physical activity, I understand there is a possibility of injury to my child. We have our own medical insurance to cover my child should they become injured during any of the sessions and will not hold the Staff or Surfside responsible.

Username*

Password*

Main User Registration